249 Quail Ridge Lane Lot 35Davie Countv. NC Tax Parcel Report Wednesday, September 28, 201(
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Alldata is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
�7 County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
1\
c06tIS4 C or arising out of the use or Inability to use the GIS data provided by this website.
Parcel Information
Parcel Number:
H4140B0005
Township:
Mocksville
NCPIN Number:
5739425346
Municipality:
Account Number:
40603950
Census Tract:
37059-806
Listed Owner 1:
LONDON CHARLES STOKES II
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
249 QUAIL RIDGE LANE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class: MOCKSVILLE GR,OSR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 35 COUNTRY LANE EST
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.75
Elementary School Zone:
MOCKSVILLE
Deed Date:
5/1998
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
002020713
Soil Types:
GnB2,MsD
Plat Book:
0005
Flood Zone:
Plat Page:
221
Watershed Overlay:
MOCKSVILLE
Building Value:
224770.00
Outbuilding & Extra
900.00
Freatures Value:
Land Value:
25000.00
Total Market Value:
250670.00
Total Assessed Value:
250670.00
Alldata is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
�7 County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
1\
c06tIS4 C or arising out of the use or Inability to use the GIS data provided by this website.
C'a F • .'. as .. ',.... _ _
DAVIE COUNTY HEALTH DEPARTMENT
- IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article 11 of G. S. Chapter 130a
Sanitary Sewage Systems Perm -it Number
Name (_�.': •�' ' c'f� /l Date �^2` " `�- L N2 17 5 3 7'
Location
Subdivision Name Kau= y;, �/ Z��=� ` �--r� Lot No. S (l' Sec. or Block No.
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
�v
^t
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
t Ld "L
#Z
-0
"0' y
i
System installed by D o —
Certificate of Completion �1 Date
.*The signing of this certificate shall indicate that the system describe above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
Lot Size
House &efMobile Home
_ - _ Business _—
Industry
No. Bedrooms
No. Baths— No. in Family
_ Public Assembly
Other f
Garbage Disposal
YES ❑ NO 2--
Specifications for Systpm:
Auto Dish Washer
YES NO ❑
Auto Wash Ma shine
YES NO ❑
I •
Type Water Supply _
C ', ---�dX
/t
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
�v
^t
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
t Ld "L
#Z
-0
"0' y
i
System installed by D o —
Certificate of Completion �1 Date
.*The signing of this certificate shall indicate that the system describe above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
IL
2 3 4
Landscape position A,—
,Slo
a Z
Slope
HORIZON I DEPTH
• �A
DAVIE COUNTY HEALTH DEPARTMENT
Consistence
Structure
Environmental Health Section
Mineralogy
HORIZON II DEPTH
Soil/Site Evaluation
Texture group
2A
Consistence
Structure
NAME
Mineralogy�-
DATE EVALUATED
HORIZON III DEPTH
ADDRESS
Texture group
PROPERTY SIZE
Consistence
Structure
Mineralogy
PROPOSED FACIILTY
HORIZON IV DEPTH
LOCATION OF SITE
1
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring
i j Pit
Cut
RESTRICTIVE HORIZON
SAPROLITE
FACTORS 1
2 3 4
Landscape position A,—
,Slo
a Z
Slope
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
y �'
Texture group
Consistence
Structure
Mineralogy�-
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: %/Z--
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
EVALUATED BY: _ _ _ —12
OTHER(S) PRESENT:
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope
CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope
Texture
S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt
SICL-Silty clay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR-Very friable FR -Friable FI -Finn VFI-Very firm EFI-Extremely firm
Wet
NS -Non sticky SS -Slightly sticky S -Sticky VS -Very Sticky
NP -Non plastic SP -Slightly plastic P -Plastic VP -Very plastic
Structure
SC -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to free water or inches from land surface to soil colors
with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT _
Davie County Health Department
Environmental Health Section
P. O. Box 665 xIPP4
Mocksville, NC 27028
1. Application/Permit Requested.By
Mailing Address 'd �� ! / Home Phone
o dl�SJi Ile Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: 0 House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision 7 Section Lot #4,
❑ Basement/Plumbing
No. of People-E"asement/No Plumbing
No. of Bedrooms C"Washing Machine
No. of Bathrooms OC X27 ^�—
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures _
7. Type of water supply: � blic ❑ Private
8. Property Dimensions 3 Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑'bishwasher
❑ Garbage Disposal
❑ Yes 2 -No
❑ Community
"NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
This is to certify that the information provided is correct t e best of my
incurred fro this application.
' J i
DATE
understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE
DCHD (1193)
SIGNATURE